The Hashemite University, Jordon
Aim: To assess perception of risk of getting coronary heart disease, and to examine its associations with individualʼs characteristics and health behaviours among Omanis with type 2 diabetes mellitus.
Background: Evaluating perceptions of being at risk of getting a disease may give insight into health promotion behaviours. People with diabetes are at high risk of getting coronary heart disease. The management of diabetes mellitus should include prevention and control of coronary heart disease.
Design: A cross-sectional correlational study was conducted.
Methods: A convenience sample of 160 adults with type 2 diabetes mellitus invited to participate in this study between November 2014 and March 2015. Descriptive and regression analyses were performed to examine associations between study variables.
Results: High perception of risk of getting coronary heart disease was significantly associated with low educational level, low income, and high level of knowledge about diabetes mellitus. People with diabetes who perceived coronary heart disease as having few moderate known outcomes and consequences reported consuming healthy diet more frequently.
Conclusion: Teaching people with diabetes about the risk of getting coronary heart disease is essential as it could motivate them to perform health promotion behaviours, which may assist in controlling and reducing coronary heart disease.
Biography:
Ali Ammourin is an associate professor in the department of Nursing at The Hashemite University. He completed his PhD at University of Kansas. His Research interest is Preventive cardiology, health promotion. Cardiovascular Risk Factors; Primary and Secondary Prevention of Cardiovascular Disease; Risk Factor Interventions; Open Heart Surgery Management; Cardiac Rehabilitation. He published many articles in different journals.
Chiang Mai University, Thailand
Child accidental drowning is a global health issue and promoting child safety is a paediatric nursing challenge worldwide. In order to plan effective child drowning prevention, understanding parents perceptions and practices toward child drowning prevention is very important. Evidence suggests parents of young children should be approached and educated how to prevent the risk of child drowning at home. However research on qualitative approaches with Thai parents is quite limited. This qualitative research study aimed to understand Thai parents perceptions and practices of their child drowning prevention in and around their home. Seven parental Mother/Father couples from a municipality of one Thai province consented to take part in the study trough in-depth individual interviews, providing a wide range of data. Thematic analysis was undertaken and brought about three main themes relating to their perceptions and practices are exhibited: “Perception toward insufficient child drowning prevention”; “Child drowning prevention practices”; and “Support needs toward child drowning prevention”. Participants expressed their understanding and daily behaviour regarding child drowning prevention based on their perceptions and experiences. The findings can be valuable contribution to inform paediatric nursing curriculum, child healthcare practice, child health policy in Thailand and beyond.
1. The presentation adds:
1.1 A substantial understanding of parental perception and behaviour toward child drowning prevention may increase public concern and healthcare professional awareness.
1.2 A developmental differences concepts of behaviour change may provide more meaningful approach to conceptualization and assessment of child drowning prevention behaviour among parents.
1.3 Parents have inadequate knowledge, awareness and practice as regard of drowning prevention in young children.
1.3 Paediatric nurses need to assess parental behaviour toward drowning prevention for young children in order to determine the appropriate development programme for parents.
Biography:
Amornrat Ngamsuoy is an assistant professor in the Department of Paediatric Nursing, Faculty of Nursing, Chiang Mai University, Thailand. Her expertise in paediatric nursing as regard of promoting health and wellbeing for Thai children in both hospital and community. She attempted to develop the parental behavior model for child accidental injury prevention. The participatory approach would be responsive to all parents of young children and has a different way of focusing.
Cyprus University of Technology, Cyprus
Background: Studies among parents of children with cancerhave focused on anxiety, depression, or post-traumatic stress, and less so on overall measures, such as Health-Related Quality of Life (HRQoL).
Methods: Literature review in Scopus and Cinahlwith terms: mothers OR carersetc AND child* OR adolesc* etc AND cancer or oncolog* etc AND quality of life OR HRQoLetc, in 65 combinations. Selection criteria: mothers (or predominately in mixed samples), children aged<18 in active treatment (no palliative), quantitative, some measure of quality of life, comparative (e.g. population norms, or control group) or correlational, or baseline in interventions, English language, prior 2015.
Results: Of 237 studies reviewed in full-text among 2184, 10 fulfilled all criteria: 6 mothersonly, 4 mixed with separate results for mothers, and additional 10with sample of predominately mothers.With the exception of a series of studies from Canada (N>400), most studies had small sample sizes (N<150). European studies originated from limited number of settings. There were single-sample correlational studies (e.g. coping, anxiety, depression, sleep quality), internal comparisons (e.g. single- vs two-parent families, time since diagnosis, or same group longitudinal, etc) or external (i.e. mothers of healthy children, or other diagnosis, or population norms). SF-36 was commonly used. In studies with external comparison, quality of life was significantly reduced amongst mothers (or parents) of children with cancer. Despite cross-national heterogeneity, in studies that the SF-36 commonly effect sizes were in the range of 0.5-1 SD for mental health and ~0.5 SD for physical health dimension.
Conclusions: Physical health as well as mental health aspects of the quality of life appear affected in this vulnerable group, highlighting the need to monitor and incorporateQoL as an outcome measure inassessing the effectiveness of psychosocial intervention programs.
Main messages: Quality of life is compromised inmothers of children with cancer.
Expressing QoL in comparative terms is important in highlighting the needs and assessing the effectiveness of intervention measures.
Biography:
Christiana Nicolaou is a lecturer in the department of nursing in the school of health sciences at Cyprus University of Technology. She completed her PhD in the MiddleSex University. Her research interest is Health promotion/education, Community care/nursing
King Abdulaziz University, Saudi Arabia
Purpose: To investigate the relationship between job strain, coping strategies, and work performance among oncology nurses working in Saudi oncology care settings. The study tested a model that proposed a mediating effect for coping strategies on the job strain and work performance relationship.
Background: Job strain is reported to affect coping strategies and work performance among nurses, thus compromising oncology nursing care and placing patientsʼ lives at risk. A review of the literature has revealed that although a great deal of research has been conducted internationally about job strain, coping strategies, and work performance in nurses, very little of this research has included oncology nurses or nurses in the Kingdom of Saudi Arabia (KSA).
Methods: A predictive, correlational cross-sectional study was conducted with 241 oncology nurses from five hospitals in the KSA. A survey instrument, based on pre-existing standardized tools, including demographic and work items, was used. The data were analyzed using Statistical Package for the Social Sciences (SPSS 22) (IBM Corp, 2013) and AMOS 21.0 software package (Arbuckle, 2012). Structural equation modeling (SEM) was used to test the study model that proposed a mediating effect for coping strategies on job strain and work performance.
Findings: Study findings demonstrated that participants experienced low to high levels of job strain. The SEM analysis indicated a good fit for the hypothesized model. Coping strategies significantly partially mediated job strain/ on work performance among KSA oncology nurses. There were also significant differences in levels of job strain, coping strategies, and work performance between nurses from KSAʼs publicly and privately funded hospitals, type of oncology units, and oncology nursing education/preparation.
Conclusion: Coping strategies are important mechanisms through which job strain can impact oncology nursesʼ work performance.
Implications for Nursing Management: Knowledge gained from this study may be useful in improving oncology nurses work environments and in assisting nurse managers policy development in the KSA. Nursing managers must be aware of the role of coping strategies in reducing job strain and improving work performance among oncology nurses.
Keywords: job strain, outcomes of job strain, coping strategies, work performance, oncology nurses, Kingdom of Saudi Arabia, work environment, nursing management.
1Tanta University, Egypt
2King Saud University, Saudi Arabia
Psycho education is a therapeutic approach based on cognitive-behavioral theory, which involves the patients in solving their problems through communication and self-assertiveness training, lifestyle change that were efficient to achieve the proposed goals for the treatment of insulin resistance syndrome. Because of most people in rural areas in Egypt are not aware by the impact of life style on their health and follow up and also patients with insulin resistance syndrome are increased in numbers so the current study aims to examine the effect of psych educational intervention on the quality of life of patients with Insulin resistance syndrome.
A quasi experimental design was followed in the current study, Sitting; Abo Ghanema family medicine center Cidy Salem, Kafer Alshekh, The target population (30) patients with Insulin resistance syndrome, who fulfill the following criteria, Age40 and above, Independent, Diagnosed with Insulin resistance syndrome, Diabetes, Hypertension, Metabolic syndrome. Two tools was used, A structured interview questionnaire developed by the researcher after thorough review of literature to elicit information related to, Demographic and clinical data of patients age, past & present history of illness, hypertension, diabetes, cholestole level &Scale of comprehensive quality of life scale-adult fifth edition (com Qol-A5). Conclusion & Recommendation This study revealed that Psych educational intervention lowering blood pressure, diabetes and level of cholesterol, Also it was found that Psych educational intervention increased the effectiveness of prescribed drugs. The current study recommended that health care professionals should not just focus on objective vital signs (e.g., blood pressure), physical examination findings (e.g., retinopathy, nephropathy, heart but should also attempt to understand the subjective impact of chronic disease and its management. Ideally, patients should have both improved biomedical parameter control and better Health Related Quality Of Life (HRQOL) Keywords (Insulin resistance syndrome, Health Related Quality Of Life (HRQOL)
Yale University School of Nursing, USA
A key element in the conducting the comprehensive physical comprehensive health assessment is the patient interview when the provider elicits information from the patient to help guide in determining the health status as well as to discover health issues. Technologies that allow the student to view patient interviews from the patientʼs perspective may enhance interviewing techniques and promote therapeutic interview behaviors. We report the results of a program for nurse practitioner students who conducted interviews with standardized patients (SP). Each standardized patient presented with routine health issues, however, each was instructed to hold on to a “secret”, a health issue of great concern. The importance of the “secret” was to determine if the student implemented interview techniques that probed and prodded for additional information. Each SP gave some hints through their responses or their body language that something was being withheld. The expert interviewer would easily pick these cues up in any interview. The standardized patient wore a pair of glasses that had a camera fixed to the frame. This optical head mounted device allowed the standardized patient to videotape the student interview from a distance of no more than 18”. When the interview was completed, the student responded to 4 open ended reflective questions on their perceived performance. The student was then asked to view the videotape and after viewing the tape, they were asked to reflect and respond to 12 open ended reflectivequestions. There was no opportunity to examine the perception of the standardized patient, however, when replicating this project, it was suggested that there would be rich data including their perspective. In conclusion, the opportunity for students to gain insight and reflect on their interviewing skills provided each with a life long learning experience.
Biography:
Geraldine Marrocco is an Associate Professor & an adult nurse practitioner. Her doctoral degree in education is from Teacherʼs College/Columbia University. She is particularly interested in the constructiveness theory to achieve transformational learning, incorporating the use of learning with technology. She promotes interprofessional learning with Yale School of Medicine. She is a member of Connecticutʼs State Board of Nurse Examiners. She received 2 major awards from Yale providing funding for using technology in learning.
Her research interests include methods to achieve transformational learning in education as well as policy and leadership in advanced practice. She owns & manages a primary care practice in Trumbull Connecticut.
All India Institute of Medical Sciences, India
Patient satisfaction is one of the established yardsticks to measure success of the services being provided in the health facilities. A cross sectional descriptive study was conducted to assess the patient satisfaction towards care received at Maternity ward of AIIMS, New Delhi. A total of 50 subjects from two maternity wards were recruited into the study by convenient sampling. A structured questionare was prepared which consists of two sections: demographic profile and five point rating scale for patient satisfaction. The overall patient satisfaction was categorized into very, slightly and dissatisfied. The data collection technique was interview method. The results of the study showed mean age of subjects was 29.24 years, 44% of the subjects were graduate,84% were housewives. Further, majority belongs to urban region and the reasons for admission for majority were high risk cases. With regards to satisfaction level of subjects towards care; 44% very satisfied, 52% slightly satisfied and only 4% were dissatisfied. In terms of admission procedure majority (74%) were very satisfied. In relation to physical environment and treatment nearly 80% and 84% subjects respectively were very satisfied. Noticeably, only 2% were dissatisfied with admission, physical environment and treatment. Almost all of the subjects 94% and 98% respectively were very satisfied with meals and overall experience. In relation to cleanliness, 84% were very satisfied and 90% of the respondents were very satisfied with condition of Lavatories. Majority of the participants were very satisfied with behavior of doctors and nurses. The highest percentage of dissatisfaction (12%) falls in the visitors and family. There was no statistically significant relationship found between demographic variables and satisfaction level of subjects. Overall, majority of the subjects were satisfied with the maternity care received however, it is indispensable to look into the factors leading to the dissatisfaction concerns with family and visitors.
The University of Jordan, Jordon
Background: Jordanhosts more Palestine refugees than any country in the world. Conditions under which people in a community live influence their health-related quality of life (HRQOL).
Purpose: The study purpose was to compare HRQOL of Palestine refugees in Jordan who lived inside camps with those who lived outside camps.
Method: Participants, recruited from inside the Baqaʼa camp (n = 86) and surrounding Abu Nsaircommunity (n = 91), completed the World Health Organization Quality of Life Brief Questionnaire.
Discussion: There were disparities in educationand social relations and environment HRQOL related to income and residency, but not gender, among refugees.
Conclusions: Refugees living inside camps, particularly if poorer, fared worse than refugees living outside camps. Enhanced programs and policies may be needed to improve HRQOL, education and socioeconomics for camp refugees. Nursingʼs perspective on refugee health could be an important contribution to humanitarian efforts and health diplomacy.
Florida Hospital Tampa, USA
Background: CLABSIs affect 80,000 patients in the ICU each year and are associated with 24,000 deaths annually. A patientʼs length of stay can double due to development of a CLABSI. CAUTIs account for more than 15% of infections reported by acute care hospitals and it is estimated that more than 13,000 deaths are attributed to CAUTIs. CAUTIs can increase a patientʼs length of stay by 1 to 3 days.
Methods: The Nursing and Infection Prevention teams collaborated in the development of a bundle compliance process that is utilized every 12 hour shift 7 days a week by the direct patient care nurses. The database is on a shared drive that can be accessed 24 hours a day. Executives, Nursing Leaders and the Infection Prevention Director review the patient care plan and indications for the indwelling devices on a daily basis. Nursing Managers and Team Leaders review this on a per shift basis during patient rounds. This process is used in conjunction with an electronic report that lists patients by Nursing unit with central lines and indwelling catheters.
Results: Our infection prevention plan monitors and reports CLABSIs and CAUTIs for each Nursing unit. In 2016, there was a 50% reduction in CLABSIs for all Nursing units, including the ICUs. In 2016, there was a 33% reduction in CAUTIs for all Nursing units, including the ICUs.
Conclusions: A combination of education of the Nursing unit staff in best practice elements via a bundle compliance form, every shift assessment to reduce device utilization, review of indications for central lines and indwelling urinary catheters, in conjunction with daily rounds by Nursing Leadership and the infection preventionists resulted in a significant decrease in healthcare associated infections in our healthcare facility.
Mount Carmel College of Nursing, USA
The purpose of this presentation is to showcase older adults as their own diverse group. The older adults are so unique, a “one size fits all” answer doesnʼt fit. To successfully transform nurses working with older adults, a shift to being inclusive in all things diverse needs to occur to meet the needs of this diverse “Silver Tsunami”. Older adults need nurses to be culturally competent to serve their needs.
The target audience of this presentation is nurse educators in clinical and classroom settings for student nurses. These future nurses will be caring for the “Silver Tsunami” and need to see their diversity.
1Jordan University of Science & Technology, Jordan
2Al-Hussein University, Jordan
Background: Postnatal depression is a focus of considerable research attention, but little is known about the pattern of stress across this period.
Objective: to investigate the prevalence of stress after childbirth for Jordanian women and identify associated risk factors.
Design: A descriptive cross-sectional study. Participants were recruited six to eight weeks postpartum, provided personal, social and obstetric information, and completed the stress subscale of Depression Anxiety and Stress Scale (DASS-S), the Maternity Social Support Scale (MSSS), and Perceived Self-Efficacy Scale (PSES).
Setting: maternal and child health care clinics in four health care centres in Maan city in Southern Jordan.
Participants: Arabic speaking women (n = 324) between the ages of 18 and 45 years, six to eight weeks postpartum, primiparaous or multiparous at low risk for obstetric complications. Data collection was take place between October 2015 and January 2016. Ethical clearance was obtained prior to data collection.
Results: The prevalence of postpartum stress among Jordanian women was 39.8 %. A regression analysis revealed that occupation, low social support, financial problems, difficult marital relationships, difficult relationship with family in-law, giving birth to female baby, difficult childbirth, and low self-efficacy were associated with postpartum stress.
Conclusions and implications for practice: Jordanian women need support during pregnancy, during and after childbirth. postpartum emotional support and assessment of symptoms of stress needs to be incorporated into routine practice. The opportunity for open discussion along with increased awareness and clarification of common misconceptions about postpartum stress are necessary.
Biography:
Khitam Mohammad is associate professor of midwifery research and practice. She received her BSN degree in 1997 from Jordan University of Science and Technology, her first master degree was in Anthorpology in 2003 from Al-Yarmouk University in Jordan, her second master degree was in Midwifery in 2004 from Griffith University, and her PhD in Midwifery from Griffith University in 2008 Australia. Khitam is the second associate professor in midwifery at the faculty of nursing, Jordan University of Science and Technology.
York College, USA
Clostridium difficile infections (CDIs) are some of the most common healthcareassociated infections in hospitalized patients1-8 and in patients residing in nursing homes.9-11 The diagnosis and treatment of CDIs exceed an estimated 3.2 billion dollars annually in the United States2,4,11-12 with approximately 333,000 cases and 15,000 to 20,000 deaths per year.2,4,13-15 When the diarrhea becomes severe and causes complications, CDIs become life-threatening and are a significant cause of morbidity and death in hospitalized patients.1-4 There is increased incidence of severe and recurrent CDIs (RCDIs) due to a new hypervirulent strain that is less responsive to traditional medications. These patients oftentimes will be treated in an intensive care unit. Fecal microbiota transplantation (FMT), also called fecal bacteriotherapy, is an adjunctive, cost-effective means of treatment for patients with RCDI.2,12-19 The critical care nurse must understand the importance of a balanced gut microbiome20,21 and how CDIs disrupts that balance.22-25 Furthermore, the critical care nurse must recognize the role of Fecal Microbiota Transplants in order to provide appropriate care, educate patients, and collaborate with health care professionals regarding the latest treatment options for patients with RCDI. This presentation will utilize a case report of a 69year-old woman who presented with diarrhea after being on an antibiotic for pneumonia. Status post FMT there was a complete resolution of the diarrhea after 10 hours of treatment and Dorothy reported no further diarrhea or complications. This presentation with highlight the FMT procedure, risks benefits and nursing care required.
Capella University, USA
The Agile team process is collaborative, iterative and the culmination of idea generation for curriculum development. As a team of subject matter experts, instructional designers, media consultants, and administrative leaders embarked on the design, development and application of the agile inspired process in academia. Our goal remains to define the most current relevant information in an MSN curriculum to provide, scholarly and competency based courses that support learner success.
The process of developing this particular concept is truly a journey of team growth and bonding. As highly driven individuals we build upon each otherʼs strengths moving through a series of important conversations, course iterations and ultimately a product that satisfies the needs of our learners. Together the Agile team engages in idea development for a path to improved course delivery.
Biography:
Dr. Forsythe is a Consultant, Researcher and Faculty with over 25 years of progressively successful experiencein diverse clinical and administrative roles at large academic medical centers, multi-facility health systems and academic centers. She received her BA from Marquette University, MSN from the University of Phoenix, and an MA and PhD in Organizational Systems from the Fielding Graduate University. Dr. Forsytheʼs particular expertise and focus is in healthcare management, leadership, organizational systems, communication, assessment and curriculum development. She is known for her ability to connect individuals for effecting purposeful and successful healthcare and academic experiences, outcomes, and results.
Professor of Obstetrical and Gynecological Nursing, Faculty of Nursing, Tanta University, Egypt
Pregnancy and urinary tract infections UTIs often go hand in hand since pregnant women are at an increased risk of developing UTIs. Pregnancy hormones cause changes in the urinary tract which predispose women to infections. In addition, as the uterus grows it presses on the bladder and can prevent complete emptying of urine. This stagnant urine is a likely source of infection. Untreated these infection may lead to kidney infection. Urinary tract infections in pregnant women should be treated with appropriate therapy together with healthy life style activities (self care practices) in order to prevent complications such as premature labor.
Design: A Quasi-experimental study design was used.
Aim: To determine the effect of intervention guidelines on self care practices of pregnant women with urinary tract infection
Setting: The study was conducted in the antenatal clinic at Tanta University Hospital and El Menshawy Hospital. In addition, two MCH centers affiliated to different available geographic health zones (medical centers at Said and sager).
Sample: A total number of 42 pregnant women diagnosed with urinary tract infection and who were fulfilled the inclusion criteria.
Tools: 1-Structured interview schedule to assess socio demographic characteristics, reproductive history, 2-Collected data related to UTI symptoms and the followed self care practices (Self –Care Assessment Structured Interviewing Schedule (SCASIS) was used, 3-Women knowledge regarding urinary tract infection, 4-Self care practicesʼ Specific affect and,5–The developed intervention guidelines on self care practices regarding urinary tract infection.
Results: Women showed mean scores of pre-intervention deficient, incorrect knowledge, and unsatisfactory self care practices regarding their urinary tract infection symptoms. Statistically significant improvements in the total scores were found at the post-test and 3 months later compared with pre-intervention scores (p<0.001). Furthermore there were obvious improvement and relieving of UTI symptoms as reported by women after the implementation of intervention guidelines.
Conclusion and Recommendation: The findings of the present study enlighten some important aspects regarding women knowledge and self care practices toward urinary tract infection during pregnancy. Therefore the study recommended Increase awareness of pregnant women regarding physiological changes of pregnancy-Increase awareness of women self care needs, requests, facilitate and increase the self care abilities of the woman to perform self care activities-provides the woman with sufficient knowledge to recognize the signs and symptoms of urinary tract infection to facilitate early detection and prevention of future infection.
[Manal Hassan Ahmed Hassan Effect of intervention Guidelines on self care practices of pregnant women with urinary tract infection] Life Sci J 2014; 11(X): X-X]. (ISSN: 1097-8135). http://www.lifesciencesite.com
Keywords: Self care practice; urinary tract infection; pregnancy.
Gwynedd Mercy University, USA
This study, based on hermeneutic phenomenology, asked: What is the experience of accelerated nursing program graduates utilizing ethics in their nursing practice? Using van Manenʼs phenomenological method, 10 accelerated nursing program graduates were interviewed to illuminate their lived experience of utilizing ethics in their nursing practice. Through the process of reading and rereading transcripts five essential themes emerged: the nurse serving as a patient advocate, the nurse promoting a dignified death for a patient, the nurse fostering the humane side to patient care, the nurse encouraging virtuous integrity, and the nurse actualizing authentic leadership.
The integrative textual statement synthesized from the themes was: The experience of utilizing ethics in practice among accelerated nursing graduates is one of demonstrating virtuous integrity by respecting the humane side of patient care, serving asthe patientʼs advocate, and when called upon, promoting a dignified death for a patient. Nurses accomplish this by leading through authenticity.
Implications for education included ethics education on a formal and an informal basis as well as the incorporation of the five essential themes into the educational process. This study supported the tenets of authenticity as a framework for the education and the use of ethics in both nursing programs and practice areas.
Implications for nursing practice included the utilization of the model in practice. Also, accountability was identified as imperative for ethical practice.
Implications for future research included study replication with other cohorts such as prelicensure and advanced practice graduates. A future quantitative study may be developed from this initial qualitative study. Finally, this study lends itself to transferability to other professional fields outside of nursing.
Sacred Heart University, USA
Purpose/Objectives: To explore nurse faculty beliefs and teaching practices regarding the care of the cancer survivor in undergraduate nursing programs. To identify barriers and facilitators to the inclusion of cancer survivorship content in undergraduate nursing programs.
Research Approach: Qualitative, descriptive.
Setting: Naturalistic settings at the choice of the participant (diner or restaurant).
Participants: 14 baccalaureate nursing faculty from 2 northeastern states, representing 6 schools of nursing.
Methodological Approach: Face-to-face semi structured interviews with open-ended questions.
Findings:Nursing faculty believe cancer survivorship care belongs in undergraduate nursing programs, but identify a gap in their curriculum regarding the physical, psychosocial, and spiritual needs of the cancer survivor. Only 14% of participants integrated all stages of survivorship when planning classroom and clinical learning experiences. Faculty identified barriers and facilitators for including survivorship in curricula.
Interpretation: Nursing faculty require education on the current definition of cancer survivorship and the needs of survivors during the acute, extended, and permanent stages of survivorship.
Implications for Nursing: A significant gap in the education of nursing students on cancer survivorship was confirmed. Nursing faculty believe that nursing students should be educated on survivorship care but teaching practices are not consistent with this belief.
A revision of current undergraduate nursing curricula regarding what is essential content for prelicensure BSN student is recommended. There is a need to increase opportunities for interprofessional collaboration between nursing students and other health care professions.
Keywords: Cancer Survivorship; Nursing Education; Nursing Education and Cancer Survivorship; Teaching Cancer Survivorship
Al Al-Bayt University, Jordon
The risk factors of prostate cancer vary among different geographical locations, cultures and ethnic groups; however, no such study has been conducted in Jordan. Hence, this study was conducted to explore the association between fruit and vegetable intake, high fat, BMI score, physical activity and the occurrence of prostate cancer among Jordanian men. A case-control study was conducted in three large referral hospitals in Jordan. The cases group comprised 165 prostate cancer patients and the control group consisted of 177 unmatched participants who had no prostate cancer.
The results showed that smoking (OR= 0.32; 95% CI= 0.18 to 0.57), a history of prostate infection (OR= 0.21; 95% CI= 0.11 to 0.38), high fat intake (OR= 0.44; 95% CI= 0.23 to 0.85), and increased mean of BMI (OR= 1.08; 95% CI= 1.02 to 1.13) increased the likelihood of developing prostate cancer. High intake of fruit and vegetables (OR= 2.18, 95% CI= 1.18 to 4.02) was preventive against prostate cancer.
A high fruit and vegetable intake shows a protective effect against prostate cancer, but physical activity does not. Based on this, a healthy diet and giving up smoking are recommended, as they may contribute to a reduction in the incidence of prostate cancer. More randomised clinical trials in this area are needed to strengthen the available evidence and reduce the effects of confounding variables.
Biography:
Dr Mohammad Al Qadire, RN, PhD is an associate professor of oncology and palliative care nursing. He is currently the Head of Adult Healthcare department and the dean assistant for studentsʼ affairs at Prince Salma School of Nursing/Al Al-Bayt University in Jordan. He earned his PhD in Nursing from the University of Manchester-UK. The focus of his PhD research was on implementing research findings to improve cancer pain management in Jordan. He has more than 10 years of clinical, teaching, and research experience and worked as oncology nurse, Head Nurse, and Research Assistant, he has more than 25 successful publications in a well-known international Journals in the field of Oncology Nursing and Palliative care.
Nazareth College Rochester, USA
Technology is used to maximize student lab time and enhance student awareness of their own learning needs. Youtube, as well as professional nursing videos, is accessed by students from home who then come into lab to practice basic nursing skills. The students use smart phones, as well as I-Pads, etc., to record themselves demonstrating a basic nursing skill set. Students complete a self-evaluation and use google drive to submit the videoʼs for instructor evaluation. This allows for the student to watch themselves and make corrections, and instructors can easily point out areas for improvement (using the time-stamp for clarity). This reduces the time that the lab is occupied by testing, making the lab available at all times for students to practice and video. This also has led to student satisfaction (one instruction watches all of one type of video which makes inter-rater reliability a non-issue) and students also report re-watching their own videos throughout the curriculum to help reinforce the skill. As a final evaluation, students are given a patient scenario with provider orders and record themselves caring for the patient. The videos can be reviewed by one or more instructor to evaluate student competency.
Biography:
Nancy Chernak is the Clinical Program Director at Nazareth College Nursing Department, a small liberal arts college in upstate New York. Nancy is the director of the clinical nursing at Nazareth, starting with attainment of basic nursing skills and continuing throughout the nursing program. Nancy graduated from the University of Rochester with a masterʼs degree in pediatric nursing.
Indiana University of Pennsylvania, USA
As higher education institutions across the United States (US) are working diligently to enhance diversity, cross cultural experiences, and enrollment, recruiting international students is a solution that contributes to the “personality”, diversity, and the financial security of the campus. There has been an influx of international students at Indiana University of Pennsylvania (IUP) since fall 2014. More than forty international students were enrolled in the mastersprogram in nursing. IUP has made a concerted effort to provide these students with a smooth transition into Americaʼs culture, language, and education system. The purpose of this phenomenologicalstudy was to explore the experiences of internationalgraduate nursing students. The investigators wanted to identify potential opportunities and barriers experienced by these studentsin order to provide recommendations for faculty to facilitate student and program success. Twenty students were interviewed face-to-face by a trained graduate assistant usinga descriptive phenomenological approach. Data analysis was conducted using Colaizziʼs (1978) method of qualitative data analysis. Five emergent themes were identified: Experiencing cultural differences, Taking on the new role, Navigating challenges, Reaping benefits, and Unfulfilled wishes. While some of these findings are consistent with previous literature, new themes emerged including ‘wanting to do good for their home countryʼ, strategies students used for ‘cultural adjustmentʼ, and ‘unmet or conflicting expectationsʼ that have implications for nurse educators and program administrators. Future recommendations for faculty include recommendations for front loading professional writing support for students, exploring opportunities for increased intercultural interactions in and out of the classroom, and workshops to increase faculty cultural awareness and strategies to mitigate the challenges facing international graduate nursing students. The theme of ‘unfulfilled wishesʼ provides a rich understanding of goals that international students bring to the learning environment. Future faculty development opportunities and additional research questions to explore will be presented to the audience.
Department of Community Medicine, Public Health and Family Medicine, Jordan University of Science and Technology, Jordan
Background: Children with cystic fibrosis facing health challenges and negatively affects on their health related quality of life. The management of cystic fibrosis should be carried out on a daily basis, which requires parental monitoring.
Objective: This study assessed the quality of life of Jordanian children with cystic fibrosis as perceived by them and their parents.
Methods: A cross-sectional design was conducted on 200 children with cystic fibrosis aged 6 to 13 years and their parents. The Arabic Cystic Fibrosis Questionnaire Revised (Cystic Fibrosis Questionnaire–Child version (CFQ-Child) and Cystic Fibrosis Questionnaire–Parent version (CFQ-Parent) was used to collect the data from participants who attended a pediatric hospital in northern Jordan between December 2012 and March 2013. Multivariate analysis and Pearsonʼs correlation coefficient were performed to assess childrenʼs quality of life.
Results: The total domains mean of the CFQ–Child and CFQ-Parent were 58.1 (SD = 16.3) and 50.6 ( SD = 19.0) respectively. Males and children aged 6-11 years had better quality of life digest (p = 0.011), emotional (p= 0.005), social (p = 0.007), body image (p = 0.005) domains.
Parents with higher educational level and employed were more likely to perceive that their children had better quality of life. CFQ–Child domains and CFQ-Parent domains were not significantly correlated.
Conclusions: Quality of life of children with cystic fibrosis was poor as perceived by themselves and as perceived by their parents. CFQ–Child domains CFQ and parent domains were not significantly correlated.
Keywords: Children, Cystic fibrosis, parents, quality of life.
Ningbo College of Health Sciences, China
Background: There were more and more master of nursing specialists in China. The core competence level of master of nursing specialists affects the overall level of nursing education directly.
Purpose: To develop a scientific core competence index system for master of nursing specialists.
Methods: A two-round Delphi survey was conducted on 30 experts to identify the items and weight in each level indicators.
Results: The core competence index system consisted of 7 first-level indicators and 26 second-level indicators. The positive coefficient of the experts was 93.3% and 92.9% in the first round and second round, respectively; the authority coefficient of the experts was 0.912; the Kendallʼ W coefficient of the first-level indicators and second-level indicators was 0.54 and 0.78, respectively.
Conclusions: The expertsʼ positivity, authority and coordination coefficients are high. The core competence index system can be used as a valid tool for the training and assessment of master of nursing specialists.
Keywords: Master of nursing specialist; Core competence; Delphi method
RAK College of Nursing, Saudi Arabia
Mrs. R, a 62 years old female, retired school teacher was brought to the hospital in June 1992 with the history of menorrhagia since 20 years of her age along with metrorrhagia since 45 years of age, had undergone D &C two times in last 5years and nowdiagnosed as CA cervix, in last stage. She was underweight and severelyanemic when brought to cancer hospital. The Oncology physical advised for External beam radiation therapy (EBRT)for 5 weeks, 3 times per week. With the side effects of EBRT, her condition became more debilitated and her family became more stressed &nostalgic. Her family was clearly told about her prognosis that she may not survive even for next 6 months.
After this communication, the family consulted various experts of different systems of medicine. They came across a wheat grass juice treatment and since it was easy to do at home, the family started wheat grass juice for Mrs. R. Mrs. R was severely malnourished due to her very inadequate food intake &sleep for last 6 months due to pain. However she started responding to the wheat grass juice after 2-3 days of initiation. She started taking liquid diet and soon started on the solid diet. Within one month, she gained two kilograms of weight, started looking fresh and lively. She was continued with this treatment for next six more months and later taken to the hospital. The investigations revealed that her tumor had subsided.
Mrs. R is now 87 years old, she is very attached to wheat grass juice &still takes it at least 1-2 times in a week. She is very healthy and happy. Has normal food intake, good sleep and absolutely no abdominal pain. In last 25 years, she has contributed very effectively in bringing up her four grandchildren. Along with this, she takes free coaching classes for the poor and needy students of the city, participates in all social gatherings and religious functions of the neighborhoods. She was felicitated thrice by the Education Board of the district authority, seniorteachersʼ forum and the city council for her marvelous contribution in imparting education to the students.
This case was followed for last 25 years. The presenter is the proud daughter of this patient.
King Saud University, Saudi Arabia
The primary purpose of this Saudi-based study is to identify the stigma surrounding mental health problems, as well as to identify the existing and latent views of mental health Nurseʼs holding a professional stigma towards people living with mental health problems in Riyadh, Saudi Arabia. A methodological strategy was devised, via the use of a mixed-method approach. In Quantitative (50 participants), two tools were used to assess stigma; the Emotional Reaction Scale, and the Attitude Scale. In qualitative (5 participants), a focus group discussion was the method of data collection. The reliability of the two scales for quantitative evaluated by measuring internal consistency using SPSS. In Qualitative 2, Nvivo, was used for an analysis of the data. The findings confirm that many mental health nurses hold a professional stigma against those with mental health problems of varying degrees. Quantitative findings indicate factors that lead to nursing professional stigma, wherein ‘exclusion’, ‘rejection and caution’ and ‘risk and fear’ lead to high levels of stigma against people with mental health problems. Qualitative findings, fit into three main themes influence the issue of professional stigma in mental health services: ‘experiences’ ‘causes’; and ‘impact of stigma on mental health services’. The findings of the present study pointto the significant convergent between emotional reactions with negative attitudes exhibited regarding people with mental health problems. It is necessary to focus on reducing professional stigma against people with mental health problems. This can be accomplished through appropriate practices, training, education, and research, as well as awareness through the media in S.A.
Georgia State University Perimeter College, USA
The primary purpose of this quantitative correlation study was to determine facultyʼs cultural competence levels and the extent culturally competent nursing concepts were included in the baccalaureate degree-nursing curricula in the Georgia metropolitan area. The Cultural Diversity Questionnaire for Nurse Educators-Revised (CDQNE-R) (Yates, 2008) comprised 41-Likert items to measure five subscales of cultural competence representing Campinha-Bacote (2006) model with an additional subscale to measure transcultural teaching behaviors. Out of a population of 102 nursing faculty teaching in baccalaureate degree nursing programs in three universities in metropolitan area of Georgia, 42 participants responded to the questionnaire. The questionnaire was administered over a 4-week period online through facultyʼs school email addresses. Findings from this study reflected baccalaureate-degree nursing faculties in metropolitan area of Georgia “agree” they are culturally competent and have to some degreesʼ cultural awareness, cultural knowledge, cultural skill, cultural desire, and cultural encounters. The highest index was the cultural knowledge subscale (M=44.1, SD=5.2, n=31), with cultural awareness subscale (M=35.1, SD=3.7, n=29) the second lowest score. These findings show cultural knowledge scored higher in comparison to previous studies and indicate knowledge is gained through more exposure to commercials, movies, textbooks, and travels. The lowest of the five subscales was cultural encounters (M=18.7, SD=3.5, n=37). The participants agreed that they are not culturally competent in cultural awareness in recognizing their own assumptions. The findings suggest a significant relationship between cultural competence preparation and consistent integration of cultural competence in nursing courses taught. The study findings add to the gap in the literature of facultyʼs cultural competence.
Biography:
Dr. Shirley A. McArthur has been an Assistant Professor in Nursing at Georgia State University Perimeter College since 2016. Prior to this position, Shirley was Clinical Nursing Instructor for several universities in metropolitan Georgia, and been teaching in nursing programs since 1996. Teaching a variety of clinical courses in BSN and Accelerated BSN programs, she has consistently integrated cultural competence through the clinical settings with students. She received her MSN from University of Alaska-Anchorage in Nursing Science and her BSN from the University of the District of Columbia. She obtained her PhD from Capella University in 2014.
North West University, South Africa
Newly qualified professional nurses are mandated to do a compulsory one year community service after completion of their education. Anecdotal evidence indicates that these nurses are not properly mentored. To explore and describe experiences of community service nurses (CSN) regarding their mentoring in North West Province (NWP) public health facilities. A qualitative exploratory descriptive contextual design was applied to get a better understanding of mentoring as experienced by CSN in NWP. The study participants were professional nurses who have completed conserve, with two to three yearsʼ experience and working at the NWP public health facilities. The total number of participants was 28 of which twenty were three focus groups and eight were individual interviews. Atlas ti7 was used to analyze data obtained from the participants. The findings revealed that CSN had negative experiences regarding mentoring. The need for mentoring was emphasized. Majority of participants highlighted that, even though they have undergone training and education, they need to be mentored by experienced nurses. Recommendations were based on the findings
Biography:
Sisinyana Hannah Khunou is a lecturer in School of Nursing Science for the past 5years. She has extensive experience in nursing and teaching. Sisinyana worked as manager of different wards and also a class teacher. She was the acting coordinator for BN (education and management) in 2017. She holds the following qualifications: Diploma in Nursing Science, BA Cur in Nursing Management and Education; Masters in Nursing Science and PhD Nursing. She has presented at conferences in South Africa. Three of her articles have been published in accredited journals. She was a Nursing Education Association committee member from 2011 to 2012.
University of Calgary, Canada
Background: Physical inactivity and unhealthy diets increase the risk for diabetes, cardiovascular diseases, and cancer. Many people in the Middle East are sedentary and consume diets high in fats, salt and sugar. Understanding health perceptions and behaviors of Arab adults regarding active living and healthy eating can inform the development of tailored and culturally sensitive health promotion program. The purpose of this study was to determine physical activity levels and food habits among Arab adults living in the Middle East.
Methods: A cross-sectional community-based study was conducted with Arab adults from March 2013 to June 2015. Using non-probability sampling technique, participants were recruited from 3 universities, and 7 primary healthcare centers in Qatar. Face-to-face data collection was conducted using a structured questionnaire. Statistical analysis was performed using SPSS version 22.0.
Results: Of 1606 Arab adults participants (response rate 52.1%), 50.1% were male and 49.9% were female. The participantsʼ mean (SD) body mass index was 28.03(5.85) Kg/m2. Two third of participants were either overweight (36.4%) or obese (33.6%). Participants reported that within the last 7 days, 64% and 39.9% did not engage in vigorous or moderate physical activity, respectively. Within the last 7 days, the mean (SD) time for vigorous physical activity was 31.12 (59.28) minutes, 46.87 (63.01) minutes for moderate physical activity, and 42.01 (47.04) minutes for walking. Male participants spent longer time doing vigorous physical activity and walking compared to females. One third of participants reported eating fresh fruits and vegetables once or more times daily, and consumed fish, beef, or chicken 2-4 times a week. One quarter of participants ate pasta, cakes, or pastries 2-4 times per week.
Conclusion: Participants were not sufficiently active and exhibited poor dietary behavior. There is a need for a nationwide health promotion program to promote a healthier lifestyle. The information from this study can inform public health policies, programs and services in Qatar and in the Middle East.
NPI-NSH College of Nursing and Health Science, India
Chhaupadi is a practice where girls/women are not allowed to enter inside the house, touch water and milk for 4 to 7 days during their menstruation period. They must stay in a hut outside, identified as a Chhaupadi house. A mixed method study (QUAN+qual), was conducted to find out the practice of school going female adolescents regarding chhaupadi practice in Doti District of Far-western region of Nepal. It was found that Practice of chhaupadi ritual was significantly associated with ethnicity (OR: 54.667 95% CI, 5.990-498.909), education of father (OR: 8.743 95% CI, 1.140-67.076), education of mother (OR: 8.069 95% CI, 1.814-35.892), occupation of father (OR: 3.337 95% CI, 1.262-8.823) and family Income (OR: 4.085 95%CI, 1.576-10.589). The findings also revealed that chhaupadi ritual has been practiced by in spite of the fact that it has serious effect in the health of the female. Also, it has threatened the security of the women, sometimes resulting brutal consequences like rape and death of the women. The study concluded that beside all other factors responsible for continuation of chhaupadi ritual, there is a strong superstitious belief that various miss happenings will occur due to violation of chhaupadi ritual. Therefore, it is necessary to increase awareness by lunching awareness programs and should be emphasized in school curriculum as well.
Biography:
Yasoda Gautam is working in the post of lecturer in NPI-NSH college of nursing, Bharatpur, Chitwan Nepal. She has completed a master degree in nursing (Women health and development) from Institute of medicine, Maharajgunj Nursing campus. She is currently involved in teaching Midwifery and leadership and management for Bachelor level nursing students in NPI-NSH college of nursing. She has work experience of 12 years in the nursing profession.
1School of Nursing, Midwifery and Social Work, University of Manchester, United Kingdom
2Health and Social Sciences, Academic Programme, Singapore Institute of Technology
Background: Palliative care is an emerging specialist area of nursing in Asia. In Singapore very few nurses prior to and after registration have any clinical experience of working in palliative care settings and there is a paucity of research data. There is a need to develop a better understanding of the principles and practice of palliative care in a culture which stigmatizes death and dying.
Aim: This study explored student perceptions of palliative care after undertaking a short preparatory module and undertaking a 2 week clinical placement in Singapore.
Design: A qualitative design using semi-structured face-to-face interviews.
Settings: A Singaporean Polytechnic
Participants: Twenty four students undertaking a full time two year degree programme in nursing practice provided by the University of Manchester in collaboration with Singapore Institute of Technology (SIT).
Methods: Face-to-face individual semi-structured interviews focused on student experiences of palliative care. Interview questions were informed by the teaching and learning assessment document used to achieve practice assessment objectives. Interview recordings were transcribed verbatim and meaningful termswere coded and categorized into themes.
Findings: The findings highlighted 3 main themes:Apprehension about collusion practices, lack of self-confidence about palliative care knowledge and anxiety about communication skills.
Conclusion and implications: The findings revealed the role that local culture plays in shaping individual and institutional attitudes and practices toward death and dying. Moreover, there are implications for the management of clinical practice for students beyond Singapore in terms of the provision of appropriate clinical support to supplement standard preparation currently provided for palliative care modules.
Keywords: Teaching Learning, Palliative care, Culture
Al al-Bayt University, Jordon
Background: Although a plethora of studies have been reported in literature exploring decubitus ulcers prevalence and risk factors, very few focused on cancer patients as being a special risk group.
Aim: To explore prevalence and risk factors of decubitus ulcers in cancer patients in Jordan
Method: A cross-sectional multicenter study was conducted using the European decubitus Ulcers Advisory Panel Methodology in five hospitals in Jordan. All cancer patients matching the study selection criteria were recruited conveniently. Patientsʼ skin was examined and risk of decubitus ulcers was assessed. Descriptive and univariate analysis was performed on different study variables. Multivariate analysis using a special algorithm (“purposeful selection macro”) was employed to explore the independent association between a number of risk factors and decubitus ulcers.
Results: This study included a 310 cancer patients, age mean was 54.65 ± 16.65 years, 169 patients (54%) were males, The general prevalence of decubitus ulcers was 16.5% (6.9% when grade 1 was excluded. Results from multivariate analysis showed that:immobility, presence of co-morbidites, age older than 40 years and hypoalbuminemia were independently associated with the development of decubitus ulcers.
Conclusion: This study is the first of its kind that was conducted in Jordan. Results from current work support the previous evidence from literature for some risk factors to be associated with decubitus ulcers. However, the current work also found decubitus ulcers to be associated with a younger age (the age cohort above 40 years) than has previously been reported. Further guidelines are needed for prevention and treatment in such a vulnerable patient group.
Biography:
Maen aljezawi is an assistant professor of nursing at Al al-Bayt University/ faculty of nursing. She has earned my bachelorʼs degree and mater degree in nursing science from Jordan University of science and Technology and PhD in nursing science from De Montforte Unversity-UK. In Academia, she taught a number of nursing courses like community health nursing, gerontological nursing and psychiatric nursing. In the research area, she was interested in epidemiological studies and exploring health phenomena
1University of Nizwa, Oman
2Independent Researcher and consultant UAE
Introduction: Children come into the world heralding the good news and brings happiness to the family, there are some unfortunate parents of one out of every 28 babies (WHO Report 2010) receive the frightening news that their baby has congenital anomaly that manifests either immediately after birth or later. Congenital malformations often cause mental trauma to the parents since it puts the entire life of child with congenital malformations into jeopardy.
Aim: This is a pilot study planned for PhD main thesis by the scholar (author 1) and the study focused on the prevalence of various systemic congenital anomalies and the associated maternal factors.
Methods: Using convenient sampling technique the study was conducted among 80 mothers (10%) of the main study population 800) in the Delivery suite and Maternity Wards of Nizwa Hospital for a period of two weeks. Complete physical examination was conducted by the investigator soon after the delivery to rule out any obvious structural congenital anomaly in the newborn
Results: Out of 80 children, 8 children had congenital anomaly; type of congenital anomaly 3 children with hypospadias, 2 with polydactyl and 1child with syndactly; 2 children with cleft lip and cleft palate. The associated factors revealed ageof the mothers has no significance, multiparityand bad obstetric history among 2 mothers respectively; surprisingly consanguinity has come down, GDM, PIH, Anemia (Mild) are common among the mothers having children with hypospadias, cleft lip and cleft palate; none of the mothers were exposed to any kind of radiation or taking any drugs without prescription. (All GDM and PIH mothers are taking Metformin and Atenelol as prescribed); 1 mother had family history running through the families for polydactyl and 1 mother with GDM. No associated factor for syndactyl.
Conclusion: The study reveals there are 8 children with congenital anomaly the most common associated factors among the mothers were with history of GDM, PIH treated with Metformin and Atenolol and anemia.
Biography:
Mrs. VijayalakshmiGopalan Nair is a registered nurse and midwife with masters in Community Health Nursing Specialty in 2000 completed a post graduate diploma in Computer Application. Pursuing Ph D and currently working as Lecturer in College of Pharmacy & Nursing, University of Nizwa, Sultanate of Oman.
University of Nizwa, Oman
Background: Having a disabled child is a critical point for a parent that eventually affects the acceptance and the attitude towards caring these children. Growth and development of these children may be affected.
Aim: The objective of this study was to examine the parental acceptance, attitude and the factors influencing the acceptance of disabled children among Omani families.
Methods: Using total population sampling technique 97 disabled childrenwas used in the selection of the subjects. Self-administered questionnaire was given to the mothers to answer the questionnaire. Data was analyzed by using frequency and percentage.
Result:The overall result showed positive parental acceptance (84.14%) in terms of accepting their child as she / he is, their child is gift from Allah, it is not a punishment from Allah for their sins, he/ she has special characteristics. (69.8%) of parents shows positive attitudein terms of treating their disabled child as any other normal child, following a special plan for bringing up these children. Major factors such as supportive system65.4%, spousal relationship 70.78% and the financial situation 60.9%influence the process of caring of the child.
Conclusion:The study showed positive acceptance and attitudes of parents towards the disabled children and the factors that examined in this study was supporting parents in accepting and having good attitudes towards the disabled children. Use of qualitative study will help the parents to express more their feelings and thoughts.
Keywords: Acceptance, Attitude, Disabled children.
Biography:
Ms. Ziana has completed her bachelor degree in nursing with good CGPA. She is very knowledgeable and competent in good quality patient care. She is now doing her internship in nursing. She is highly motivated to conduct clinical research
China Medical University Hospital, Taiwan
Introduction: The adverse drug reactions of peripheral intravenous medications for children may result in more extra medical costs and medical disputes. The purpose of this project was designed to improve the safety of childrenʼs peripheral intravenous medications, and reduce adverse drug reactions.
Methods: This study was a quasi-experimental design by using two-group posttest. The sample consisted of 4452 times of peripheral intravenous medications from medical record in pediatric ward at a medical center in central Taiwan. The project was launched from July 19, 2014 to Sep 22, 2014. The intervention included: 1. Develop an operating system and nursing system of drug delivery notification in Pediatrics, 2. Design the standard of process (SOP) of childrenʼs peripheral intravenous catheter, and 3. Training courses. The effectiveness of the project was evaluated by incidence of adverse reactions of childrenʼs intravenous drug and medical personnelʼs drug awareness after the intervention.
Results: The incidence rate of adverse drug reactions of peripheral intravenous medications for children was reduced from 0.025% to 0.5% (p<.00). The accuracy rate of knowledge and attitude of medicine use among nurses was increased from 64.8% to 96.7% (p<.000). And the accuracy rate of knowledge and attitude of medicine use among medical doctors was increased from 52% to 97% (p<.000).
Conclusions: The operating system and nursing system of drug delivery notification in Pediatrics improve the safety of Peripheral Intravenous Medications in children care. Using colors to remind acidosis and alkalosis medicine in the system would increase usersʼ awareness in using high-alert medications. The SOP of peripheral intravenous catheter provides standard operating procedure, maintaining patient safety for children. The adjustments on systems and personnel training reduced adverse drug reactions and increased medication safety in a significant way.
Keywords: The medication system of pediatric ward, adverse effect of peripheral intravenous medications, pediatric medication safety.
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